CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: HCA Houston Healthcare Conroe

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $1,300
  • Cash Discount Price: $5,451
  • vs. Medicare Baseline: 5.33x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at HCA Houston Healthcare Conroe is $1,300. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,451. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.33x the Medicare baseline. Located in 504 Medical Center Blvd, Conroe, TX.
Cash / Self-Pay
$5,451

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,300

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $5,451 (2236%)
Insurance Median: $1,300 (533%)
Cash: $5,451 (2236% of Medicare)
Ins. Median: $1,300 (533% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 533% of the Medicare baseline (a markup of 433%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Texas Health Network $185 76%
Amerigroup $189 78%
Liberty County Indigent $189 78%
Community Health Choice Mcd $192 79%
United $196 - $2,453 80%
Aetna $207 - $2,360 85%
Molina Healthcare $208 85%
Humana $236 - $1,522 97%
Texas Athletic Network $300 - $600 123%
Superior Health Plan $327 134%
Blue Cross Blue Shield $383 - $1,908 157%
Cigna $566 - $1,036 232%
Oscar $1,063 436%
Texas Childrens Health Plans $1,112 - $1,292 456%
Tx Workforce Commission $1,308 537%
Healthcare Highways $1,390 570%
Evry Health $1,488 610%
Imagine Health $1,908 783%
Christus (Usfhp) $2,180 894%
Curative Administrators $2,180 894%
Healthsmart Preferred Care $2,344 - $4,633 962%
Averde Health $2,453 1006%
Fidelis Securecare Of Tx $2,453 1006%
Coventry National First Health $2,905 1192%
Physicians Cooperative Of Texas $2,998 1230%
Rockport Workers Comp $2,998 1230%
Independent Medical System $3,270 1341%
National Healthcare Solutions $3,270 1341%
Southwest Medical $3,270 1341%
Coastal Comp $3,543 1453%
Multiplan $4,088 - $4,633 1677%
Physicians, Inc $4,633 1901%
Affiliated Ppo $4,906 2013%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 504 Medical Center Blvd, Conroe, TX 77304
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals